Can veins reopen after VNUS closure?

I just had vein closure on 2 perferrators. I went in for my two-day follow up and was told the veins have reopened. Why? Could there have been an error on the part of my treating physician. I just can't understand why, if the procedure was done correctly, the veins would reopen and so soon. I feel like there was an error

Answers from doctors (5)


Incredible Veins

Published on May 20, 2015

There are many different factors of what the result of a perforator will be. It all depends on the location and how large the perforator is. Every individual is different, and it is very difficult to make an assessment of why the perforators are open without seeing the ultrasound images and report.

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Answered by Incredible Veins

There are many different factors of what the result of a perforator will be. It all depends on the location and how large the perforator is. Every individual is different, and it is very difficult to make an assessment of why the perforators are open without seeing the ultrasound images and report.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on May 12, 2015

Veins can reopen or fail to close for many reasons, but the most common cause for early failure is inadequate energy to close the veins, or a technical problem. This can happen even with the most experienced physicians. If I was your treating physician I would redo the procedure. Discuss this with him/her.

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Answered by Vanish Vein and Laser Center

Veins can reopen or fail to close for many reasons, but the most common cause for early failure is inadequate energy to close the veins, or a technical problem. This can happen even with the most experienced physicians. If I was your treating physician I would redo the procedure. Discuss this with him/her.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on May 12, 2015

Perforator veins can be difficult to close. It is dependent upon size, flow etc. I typically try to inject them first, unless they are very long. This too can take several treatments. I would not recommend trying the RF again.

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Answered by Vein Specialties of St. Louis

Perforator veins can be difficult to close. It is dependent upon size, flow etc. I typically try to inject them first, unless they are very long. This too can take several treatments. I would not recommend trying the RF again.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on May 12, 2015

When a doc is treating a perforator, the success of the procedure is dependent on many factors--size of the perforator being the number one reason for failure. Large perforators can be difficult to close on occasion; smaller perforators are much easier to close. And then there are technical issues that can cause procedural failure. How experienced is your doc at vein treatments? Is this all he/she does, or only one of many things? Use a doc who only does veins.

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Answered by The Sheen Vein Institute

When a doc is treating a perforator, the success of the procedure is dependent on many factors--size of the perforator being the number one reason for failure. Large perforators can be difficult to close on occasion; smaller perforators are much easier to close. And then there are technical issues that can cause procedural failure. How experienced is your doc at vein treatments? Is this all he/she does, or only one of many things? Use a doc who only does veins.

Published on Jul 11, 2012


Destin Vein Center

Published on May 12, 2015

Give your doctor a chance to make it right. This was most likely done in his office, and it's likely the doctor wants to please. You might suggest that you will allow him to make another attempt to close the veins but at no additional cost to you. Sometimes one can do everything right, but it just doesn't work out. I would bet your doctor would retreat these areas at no additional cost to you. I sure would.

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Answered by Destin Vein Center

Give your doctor a chance to make it right. This was most likely done in his office, and it's likely the doctor wants to please. You might suggest that you will allow him to make another attempt to close the veins but at no additional cost to you. Sometimes one can do everything right, but it just doesn't work out. I would bet your doctor would retreat these areas at no additional cost to you. I sure would.

Published on Jul 11, 2012


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